| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $114.82 | $281.84 | |
Aetna
| Professional | 50 | $208.93 | $208.93 | $208.93 |
Cigna
| Professional | $75.86 | $138.04 | $234.42 | |
MVP Health Care
| Professional | $141.25 | $186.21 | $269.15 | |
United
| Professional | $83.18 | $173.78 | $346.74 |